Provider Demographics
NPI:1841464534
Name:SHARMA, MANISHA (MD)
Entity type:Individual
Prefix:
First Name:MANISHA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:218 ASHLEY FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6127
Mailing Address - Country:US
Mailing Address - Phone:470-435-4840
Mailing Address - Fax:470-299-2622
Practice Address - Street 1:5300 OAKBROOK PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-2256
Practice Address - Country:US
Practice Address - Phone:470-699-0866
Practice Address - Fax:470-299-2622
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2016-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA73488208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics